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1317 Applications & Permits Y OF NORTHRMFTOPI TEL f1o . 1-415-high-orzo THE COMMONWEALTH OF MAWTAOHV6ETTo BOARD OF HEALTH _CITYoF Iv U.I:l.L1:I6(0101 Applirtttiva for 39iupunal ItLurkn elnunlrttttiatt prnutt ) or Repair Application Is hereby made for a Peemit to Connrvct ( Application ) gl Indivdual Sewage Ditrwal Spaeth /: .. Jr rrt..t gr- AT Type of Building Dwelling—No. of Bedrooms 0. Omer Tyre of Building % Other IV allon•Per pawn per 4y. Tot daily now, fL5 gallon). Design Flow o _ aligns Length, Width Diameter .. Depth 0 Septic Tmmncliquid— 'al°cis!' Width Total Length Total leaching AMR._ . . . N.It. Seepage Trento—No. Depth below into Total leaching arev-. Hh ft. Other ytr No Dlmnewe.. P / Oercr anon utt hoc ( ) Swing Milk (9-if y4 DM -5;//c?Y �� ,X-, T c Results Perlornter by of Test !o'� "'g Percolation a Dealt to ground water `{ Tett Pit No. I minutes per inch Depth of Tat Pit Depth to ground water, � Test Pit No.2 minutes per itch Depth of Tett Pit I Bro pp q j ( fz e0/ y IN LP1-1.4'..,$. . S Ben,,. ,f// FY Size LoL...c.e... ........_.Sq. lees 3 Expansion ion Attic ( ) ;annge Grinder (x) persons No of n Showers ( ) —Cafeteria ( ) _ .,La Ke Deadption of Soil �y Nature of Repair.or Alterations--Answer wilco uppCuN Agreement: in accordance with The undersigned agrees to install me aforedeltrIbed Individual Sewage DHposal a mt to place the anc em to bed further agrees Pace the ration ions of CLT6C a of the state Sanitary be node— 6 the{ward of htseh. (t- operation until a Certificate d Gomp4.s."fiat.ii-: Q. Y I 717077 (a IP f / ... . Application Approved By. ApptiCtiom Disapproved for the plieudolg rearms' Permit No % €(317' Igued c .1t THE COMMONWEALTH OF MAsSACHUSrTTa BOARD OF HEALTH CITY oFNORIHAMPTON (grrtifiratr of ((Laatpliautr ( Repair d THIS IS T CERTIF((}}++•,//'pp//�hat the�[dIndividual Sewage Dierowl 5yntent constructed . .__a-^/t C/� '' //,r�t11` J Lr1' 111 e Slate $m I y (,aide. tie by u" t TSTITj I own for NOT /� ' Ne THE ISSUANCE of'TIM CERTIFICATE SHALL NOT BE CONS at been i„naned in see In. e the provisions el r} dated Y-t t) .ppli f Digwsnl Wurk Co a chat 6{111 Penult No C T ED S SYSTEM WILL nFFUN TIOI TISFACTORY. DATF mg!..lf Inspector. ) ni the T THE Till COMMONWEALTHI of MASBACIIIIBCTTs BOARD OF HEALTH _ CITY OF..NIlBAtdRTOPI..., i.l �g !.� rlt�S No.._/ 3AtTlpnnad ftit'llu Out(4lctttlitttt ii'-f-et^^--` S `k �i pemngb( is hyreby at ( vl I p - sal Systed 1,.....)�n- m NonMrna (t✓YgJ Re�si J( ) rj n(daal fi ll a r Y x No y h at { "( etc . ... •;41/4 .l% gl Works Conshuction Permit NJ:rig . D d ^( as shown on the application for Dispo -* BS tNitta fah PIUK IHHMPTi]PI TEL Hu -413-586-3726 Jun 6 ,95 3 : 19 No .006 P .03 Paz..._........._ THE COMMONWEALTH OF MASSACHUSETTS BOARD Or HEALTH CITY or NORTHAMPTON pplirutiun for Biupinuut IiI'oda ftuuutrurtinu Frrutit pliation is hereby made for a Permit to Construct Q( ) or Repair yatem at WESTHAMPTON ROAD Joyner t11tT'j d:elomes o.as. m.uo.r Type of Building Dwelling No. of Bedrooms Other—Type of Building °the factures an Individual Sewage Disposal 1058 Russell Rt KQWestfteld,Mtasi AMrm A"a"^ 40 688 0 Size Lot Sq. feet Expansion Attic ( ) Garbage Grinder ( X) rr Na of pet sons Showers ( ) — Cafeteria ( ) )esign Flow 11 U gallons pei.pdolbo°prr day. Total daily flow 445 gallons r"w Septic Tank1—lVtuid wp1cily ga11ut1c8 Length Widljr Diameter p th....__q..ft. )isposal)3x' 9iK a—No. Width ToW Length ToW leaching area 6 U aq. ft. ieefuge Pit No Diameter Depth below inlet Total leaching area. sq. ft. )ther Distribution box (X ) Dosing tank ( ) June 4, 1 984 Percolation Test Results Performed by!.N..Wet k n s a Datecont I neat ion of r M'ay299, 19° Test Pit No. 1._$.� minutes per inch Depth of Test Depth to ground waters.} Tut Pit No. 2 minutes per inch Depth of Test Pit_.............__. Depth to ground water Description of Soil 5ee`plan Nature of Repairs or Alterations—Mower when applicable Agreement; The undersigned agrees to install the aforedeseribed Individual Sewage Disposal System in accordance with the provisions of Article X1 of the State Sanitary Code—The undersigned further agrees not to place the system i n operation until a Certificate of Compliance has been issued by the board of health. Signed Application Approved By Application Disapproved for the following reasons FAH oils Doh Permit No Issued. Ost. No THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Appliratinn for 3tispnsal 11 inks (IIunstrnrtion Permit le J Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Sy at: ale arreali 112M--w'se-"'s""" Address �/� q� Installer _'7v R i ..S feet Type of Building 3 Size Lot:4K....1... ... ..... q. X Dwelling—No. of Bedrooms Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building No. of persons Showers ( ) — Cafeteria ( ) Design Flow BO allons per person per day. Total daily flow if Other fixtures lions Septic Tank—Liquid capacity/allons Length Width Diameter Depth Disposal Trench--No. Width Total Length Total leaching area sq. ft. Seepage Pit No Diameter Depth below inlet Total leaching area sq. ft. Other Distribution box ( ) Dosing tank (9.: Percolation Test Results Performed by "--' Test Pit No. 1 minutes per inch Depth of Test Pit Depth to ground water Test Pit No. 2 minutes per inch Depth of Test Pit Depth to ground water S or Lot No. Address Date 5/, Description of Soil 5-c. Nature of Repairs or Alterations—Answer when applicable Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance ha be• i s, by thy ogiy1 oy Ith. Application Approved By //IW%- igne Application Disapproved f or the fallowing reasons' Permit No 9 - Issued. fie/ # . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH CITY op-NORTHAMPTON (grit-Wirer of Tamp liana THIS IS TO CERTIF )hat th-,Individual Sewage Disposal System constructed (/.....)/Eintepaired at y 1 ( ) tor-4... rt. , A - r i mstaii has been installed in accordab e with the provisions of TIT I e OPOlateState Sanitary Code der in the application for Disposal Works Construction Permit No 41.-16. dated grAr 43-ke-- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONST ED S A GUARAN T T THE SYSTEM WILL FUN TIO TISFACTORY. DATE a/ if Inspector THE COMMONWEALTH OF MASSACHUSETTS fl' ' ----- BOARD OF HEALTH CITY OF NORTHAMPTON n - No / / nitipuffal III nrkg Taman:tun jrrmit Permission is hpby granted v. to Construct (14ror RTair i( ) anIndividual Sew,age Disposal Systed f/ Street a- as shown on the application for Disposal Works Construction Permit 115:„..,..4.iti.f_ Dad ' J ! iiii re( . DATE /1/Lv-;,.- - - - --' (1. 7 / /1 Be46f Health / FORM 1255 A. M. SULK1N, INC., BOSTON